Individual provider Active NPI

Brooke Kalea Green, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1669157947
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022388 Issued in AZ
Practice address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone
(480) 515-9296
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0019151 CO
Physical Therapist 225100000X 022388 AZ Primary

Addresses

Primary practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Mailing address

3354 S Niagara Way
Denver, CO 80224-2828
Phone (812) 604-7388

Other practice location 1

885 E Warner Rd
Gilbert, AZ 85296-3075
Phone (812) 604-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022388AZMDPhysical Therapist
0019151COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona Physical Therapist CurrentSince May 21, 2024 Accepting new patients
Mayo Clinic Arizona CurrentSince May 21, 2024 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Current Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Jan 21, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Jan 21, 2024 Accepting new patients
Strength Training Inc PastSince May 27, 2024 Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

13967 W Grand Ave
Ste 100
Surprise, AZ 85374
Phone (623) 474-3952

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

3970 W 24th St
Ste 108
Yuma, AZ 85364
Phone (602) 300-9464

11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1669157947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 S NIAGARA WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242828",
            "telephone_number": "812-604-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-515-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 E Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963075",
            "country_code": "US",
            "telephone_number": "812-604-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BROOKE",
        "middle_name": "KALEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019151",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "022388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.